Organization
EAGLE HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID O ALABI (OWNER)
(973) 262-4936
Entity
Organization
Contact information
Practice address
18 FERRY ST, NEWARK, NJ 07105-1436
(732) 255-2252
(848) 444-9801
Mailing address
18 FERRY ST STE 2, NEWARK, NJ 07105-1436
(973) 589-3566
(973) 589-1707
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/29/2019
Last updated
07/12/2022
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